Glomerular Disease: Management & Treatment Menu

How Can I Manage Glomerular Disease?

After ruling out non-glomerular causes of hematuria and/or proteinuria, treatment of glomerular disease is based on controlling its causes or its consequences.

Treatment of the Causes of Glomerular Disease

  • Treat hypertension with antihypertensive agents
  • Strict glycemic control in diabetics
  • Address dyslipidemia aggressively by controlling abnormal cholesterol and triglyceride levels with statin drugs
  • Investigate exposure to all medications that might have renal damage as a side effect. Avoid all drugs that are contraindicated in those at risk for kidney disease
  • Address metabolic syndrome with weight management, nutritional counseling, and smoking cessation
  • Remain vigilant for atherosclerotic and thrombotic complications that could impact kidney perfusion
  • Treat autoimmune disease (rheumatoid disorders, lupus, collagen disease) with immunosuppressive agents to suppress the immune system
  • Treat infections such as urinary tract infections and strep throat with appropriate antibiotics and in a timely manner
  • Eliminate obstructions from stones as quickly as possible

Treatment of the Consequences of Glomerular Disease

  • Control of blood pressure with antihypertensive medication
  • Diminish protein loss with ACE inhibitors and ARBs
  • Diuretics to diminish swelling
  • Dietary restrictions on sodium, potassium, and excess protein
  • Dialysis or kidney transplant for end-stage renal disease (ESRD)
  • Supplementation or dietary/intravenous interventions based on the results of serial, routine blood chemistry tests

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This information is provided by Vascular Health Clinics and is not intended to replace the medical advice of your doctor or healthcare provider. Please consult your healthcare provider for advice about a specific medical condition.

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